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Permit ' , ,„ • CITY OF TIGARD . MECHANICAL DEVELOPMENT ��U�� PERMI1 , �*��"�o nmn�n� x ��nu�n�� • PERMIT #.......: MEC98-0456 a�� 13125 SW Hall B�i�o�099��8�4� Blvd., Tigard, `'' 639-4171 DATE ISSUED: 10/12/98 � 1 ~ , PARCEL: 1S125CD-04000 SITE ADDRESS...: 6l EV� ' SW LANDAU ST SUBDIVISION....: BOULEVARD HEIGHTS � ZONING: R-4.5 BLOCK..........: LOT • JURISDICTION: TIG CLASS OF WO K..:ALT FLOOR FURN : 0 EVAP COOLERS: 0 TYPE OF USE ^SF UNIT HEATERS..: 0 VENT FANS...: 0 OCCUPANCY GRP. . : R3 VENTS W/O APPL: 0 VENT SYSTEMS: 0 STORIES ^ 0 BOILERS/COMPRESSORS HOODS ^ 0 FUEL TYPES 0-3 HP ^ 0 DOMES. INCIN: 0 : 3-15 HP : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15-30 HP....: 0 REPAIR UNITS: 0 FIRE DAMPERS?..: 30-50 HP....: 0 WOODSTOVES..: 0 GAS PRESSURE...: 50+ HP 0 CLO DRYERS..: 0 NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0 FURN < 100K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 1 FURN >=100K BTU: 0 i 10000 cfm: 0 Remarks: New gas furnace and gas 'piping Owner: FEES PETER KUSYK type amount by date ' recpt BEACON HOMES PRMT $, 25.00 GEO 10/12)98 98-309915 9500 SW 125TH AVE 5PCT $ 1.25 GEO 10/12/98 98-309915 BEAVERTON OR 97008 Phone #: Contractor: MUEHE QUALITY HEATING INC PO BOX 9 - $ 26.25 TOTAL WEST LINN OR 97068 . Phone #: 598-0966 Reg #..: 50096 ' REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line Insp _ Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating lint Insp applicable laws. All work will be done in accordance with Final Inspection approved p/ans. This permit will expire if work is not started _ 'within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are __ set forth in. OAR 952- through OAR 952-001-0080. You may _ obtain copies of these rules or direct questions to OUNC by calling ___ (503)246-9187. . __ __ _ A ' ff. ~ � Isue By: .^ i _�w/_^ / Permittee Signature: ^w1 '_� - , / \ +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 p.m. for inspections needed the next business dy +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ ' Plan Check # CITY OF TIGARD Mechanical Permit Application Rec'd By 13125 'W HALL BLVD. Commercial and Residential Date Rec'd TIGARD, OR 97223 Date to P.E. (503) 639 -4171, x304 Date to DST Print or Type Permit #Joe9 - ©c;/�. Incomplete or illegible applications will not be accepted Called Name of Development/Project Description a Q C COW,CP /1/(4177L-7--5 Table 1A Mechanical Code Qty Price Amt Job Street Address Suite# A) Permit Fee _ ,,, 10.00 1) Furnace to 100,000 BTU Address 7 0 �sw �l�kt� including ducts & vents • / 6.00 Bldg# City /State Zip 2) Furnace 100,000 BTU+ 1, (ota�1' c5 including ducts & vents 7.50 Name (or name of business) 3) Floor Furnace - Owner Pe - c - e,'t_ v..3sV K including vent 6.00 Mailing Address 4) Suspended heater, wall heater + q � or floor mounted heater 6.00 t 5) Vent not included in appliance permit City /State Zip Phone -3.00 • 02_ Q - 7008Zz/ a ClgL') CHECK ALL *Boiler Heat Air Name (or name of business) THAT APPLY: or Pump Cond Qty Price Amt Comp 6) <3HP;absorb unit to Occupant Mailing Address 100K BTU 6.00 7) 3 -15 HP;absorb unit City /State Zip Phone 100k to 500k BTU - 11.00 - 8) 15 -30 HP; absorb . unit .5 -1 mil BTU 15.00 Contractor Name - 9) 30 -50 HP; absorb 1 ?LV\1— qx) 4A C ? 4x-tt_ unit 1 -1.75 mil BTU 22.50 Prior to permit Mailing Address / 10) >50HP; absorb unit issuance, a copy , ZQ}L .#' q >1.75 mil BTU 37.50 of all licenses City /State ((��y Zip Phone 1 11) Air handling unit to 10,000 CFM are required if VJt'1 1 ,.. "1 1 ? 7 <S ORto� 4.50 . - expired in COT Oregon Const. Cont. Board Lic.# p Dat 12) Air handling unit 10 CFM+ database 5-0(.. 6 /� I 7.50 Architect Name 13) Non - portable evaporate cooler T 4.50 or Mailing Address 14) Vent fan connected to a single duct 3.00 15) Ventilation system not included in Engineer City /State Zip Phone appliance permit 4.50 16) Hood served by mechanical exhaust Describe work to be done: 4.50 17) Domestic incinerators New 0 Repair 0 Replace with like kind: Yes 0 No 0 7.50 Residential 0 Commercial 0 18) Commercial or industrial type incinerator 30.00 Additional information or description of work: i 19) Repair units Ie-Q co A.c.e L G-tAcS 1,-ot0E_ 4.50 t 20) Wood stove 4.50 21) Clothes dryer,. etc. 4.50 Type of fuel: oil 0 natural gas J i„ LPG 0 electric 0 22) Other units 4.50 I hereby acknowledge that I have read this application, that the information 23) Gas piping one to four outlets %./ given is correct, that I am the owner or authorized agent of 2.00 the owner, that plans submi . ed are in compliance with Oregon State laws. 24) More than 4 -per outlet (each) .50 Signature of ea9ger /' • t Date J ,N, * G` r. Minimum Permit Fee $25.00 SUBTOTAL t "�1itL->l 1 U -- I Z- — cl 6 5% SURCHARGE . °' Co .. Person Name Phone PLAN REVIEW 25% OF SUBTOTAL ` Required for ALL commercial permits only ; I\ N , C< 4 (0 b C$(6-3 TOTAL .F i *State Contractor Boiler Certification required **Residential A/C requires site plan showing placement of unit I:\mechperm.doc rev 07/20/98 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 3/3 AM PM BLD Location d‹./.„(_. [ G�' ‹•GZ - , t Suite MEC W" e Contact Person / � `T ? /- o Ph 4U 7 OS PLM Contractor Ph SWR BUILDING ;x $. T Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING:= :; ; {^qti - ew _ e Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains • Final PASS PART FAIL MECHAN,I,CAL T /f� ` Post Beam t- uy Gas Line Smoke Dampers PART FAIL ELECTRICAL:'3 ° °a" a :" Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date �rl ' Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.